Impotence occurs when you are unable to achieve an erection, maintain an erection, or ejaculate on a consistent basis. It’s used interchangeably with erectile dysfunction (ED) (Healthline). Several factors can contribute to the condition, including both emotional and physical disorders.

According to the Urology Care Foundation, an estimated 30 million Americans experience ED. The risk of impotence increases with age.

Impotence often has a negative effect on a your sex life, and it can cause depression, additional stress, and low self-esteem.

Understanding the most common potential causes can help you identify why you may be experiencing the condition.

Common causes of erectile dysfunction:

• Heart and vessel disease (high blood pressure, coronary artery disease, high cholesterol)
• Diabetes
• Obesity
• Parkinson’s disease
• Spinal cord injury
• Stroke
• Tobacco use
• Excess alcohol
• Sleep disorders
• Low testosterone
• Peyronie’s disease (penile curvature),
• Anxiety
• Depression
• Stress
• Relationship concerns
• Medication side effects